| NPI | 1659412393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204918) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002129) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-11-07 |